KRISTEN NICOLE MIEDEMA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049121859

License Status

NOT RENEWED

Business

First Name

KRISTEN

Middle

NICOLE

Last Name

MIEDEMA

Business Name

KRISTEN NICOLE MIEDEMA

Original Issue Date

07/06/1998

Effective Date

01/19/2021

Expiration Date

05/31/2022

City

SOUTH ELGIN

State

Zip

60177

County

KANE

Ever Disciplined

LastModifiedDate

07/27/2022